How to claim your $30 or $40 Rebate: 1. To receive your $30.00 or $40.00 rebate by mail, purchase a select Panasonic Over-the-Range Microwave Oven from August 15, 2005 through Offer applies to following models only: November 15, 2005. $ $30 Rebate: NN-H275, NN-S254, 2. Return this completed form, including the serial number label, along with a copy of your sales receipt with the purchase price circled. IMPORTANT: You NN-S255, NN-S244 must cut out and include the original label from the carton, which $ $40 Rebate: NN-H264, NN-P294 includes the UPC code, model number and serial number, or your claim cannot be processed. Please print legibly and complete all information. 3. Only handwritten responses will be accepted. No stickers or preprinted address labels. No P.O. Boxes except military APO/FPO (Air/Army Post Ofce Name _________________________________________________ or Fleet Post Ofce) addresses. Product must be new and unused. Address _______________________________________________ 4. Offer valid for purchase made from August 15, 2005 through November 15, (No P.O. Box Numbers except military APO & FPO) 2005. All claims must be postmarked within one month of purchase. City __________________________ State ________ Zip_________ 5. This offer is only available to the end user and original purchaser. No claims from resellers, dealers/distributors, their employees or warehouse facilities, Store Name _____________________________________________ groups, clubs or organizations will be accepted or acknowledged. 6. Limit 1 rebate per person, address or household; may not be combined with City______________________________________ State_________ any other offer or rebate. It is illegal to submit multiple requests for the same Date Purchased_________________________________________ individual or family. Fraudulent submissions of multiple requests could result in Federal prosecution under the U.S. Mail Fraud Statutes (18 USC, Sections Model #_________________________Serial #_________________ 1341 and 1342). Signature __________________________Todays Date__________ 7. Offer void where taxed, prohibited or restricted by law. Offer good only a) on purchases in the fty states of the United States and D.C. and b) to current Check here and provide your email if you would like to U.S. residents only. Exceptions for U.S. military personnel overseas. receive information about special promotions and new products from Panasonic. 8. Panasonic Corporation of North America is not responsible for late, lost or misdirected mail. Email__________________________________________________ 9. Claim forms postmarked more than one month after purchase will not be honored. Mail your completed form to: 10. Panasonic $40.00 and $30.00 rebate checks are ordinarily delivered within Panasonic $30 or $40 Microwave Oven Rebate 8-14 weeks. Rebate check is void if not cashed within 90 days of issuance and cannot be reissued. P.O. Box 1919, Memphis, TN 38101 11. Panasonic reserves the right to audit any claims and to nullify any claims that Questions? Go to www.acbrebate.com/panasonic or cannot be substantiated. Panasonic reserves the right to amend the rules of call 1-866-412-9223 to check or enter info. the program or cancel this promotion without prior notice.

OFFICIAL CLAIM FORM

M-F 8:30-5:00 pm est.

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